FDA Adverse Event Malfunction Summary report: N

BIOPLEX 2200

MDR report key: 15853697 · Received November 23, 2022

Report

Report Number
1000135116-2022-00002
Event Type
Malfunction
Date Received
November 23, 2022
Date of Event
October 18, 2022
Report Date
November 23, 2022
Manufacturer
BIO-RAD LABORATORIES, INC
Product Code
NSU
UDI-DI
00847865002813
PMA / PMN Number
BK140112
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BIOPLEX 2200 IS CONNECTED TO INPECO LABORATORY AUTOMATION SYSTEM (TLA) AT (B)(6) IN SPAIN. ON OCTOBER 19TH, 2022, BIO-RAD TECHNICAL SUPPORT RECEIVED AN EMAIL FROM THE CUSTOMER THAT A SAMPLE WAS ADDED TO THE QUEUE FOR SAMPLING ON BIOPLEX AND AN ERROR OCCURRED. 2 SAMPLES THAT WERE BEHIND THE FIRST SAMPLE WERE NOT MOVED TO THE GATING AREA OF THE BIOPLEX, BUT BIOPLEX SHOWED SAMPLES ARE IN PROCESS. THE INCIDENT WAS DETECTED BY THE TESTING LABORATORY AND RESULTS WERE NOT REPORTED TO THE PATIENT. ADDITIONALLY, WE HAVE CONFIRMED THAT WHEN THE INCIDENT OCCURS THE TRACK LINE SYSTEM REPORTS A "RED STATE" ERROR WARNING WHICH IS PRESENTED AT THE USER INTERFACE. PER THE TRACK LINE INTERFACE IFU (0U00000165-EN-US.10), THIS ERROR INDICATES THAT THE COMMUNICATION BETWEEN ANALYZER AND AUTOMATION SYSTEM HAS BEEN INTERRUPTED OR THE ANALYZER IS IN ERROR CONDITION. USER INTERVENTION IS REQUIRED TO RECOVER FROM THIS ERROR CONDITION WHICH RENDERS THESE INCIDENTS AS DETECTABLE. ON OCTOBER 24TH, 2022, BIO-RAD TECHNICAL SUPPORT PERSONNEL ESCALATED THE CASE AS A POTENTIAL ADVERSE EVENT. SOFTWARE ENGINEERS FROM INPECO AND BIO-RAD ARE EVALUATING EVENT LOGS AND INVESTIGATING THE ROOT CAUSE FOR THIS ISSUE.

Description of Event or Problem · 0

THE BIOPLEX IS CONNECTED TO A INPECO LABORATORY AUTOMATION SYSTEM (TLA). A SAMPLE WAS ADDED TO THE QUEUE FOR SAMPLING ON BIOPLEX AND AN ERROR OCCURRED. 2 SAMPLES THAT WERE BEHIND THE FIRST SAMPLE WERE NOT MOVED TO THE GATING AREA OF THE BIOPLEX, BUT BIOPLEX SHOWED SAMPLES ARE IN PROCESS. THE INCIDENT WAS DETECTED BY THE TESTING LABORATORY AND RESULTS WERE NOT REPORTED TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
291807 BIOPLEX 2200 INSTRUMENTATION FOR CLINICAL MULTIPLEX TEST SYSTEMS, PRODUCT CODE: NSU NSU BIO-RAD LABORATORIES, INC BIOPLEX 2200 00847865002813

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other